Registration Form D (Institution College/University-Govt.)

Name of Institution/College/University*

Formation of Institution/College/University*

Central Govt.

State Govt.

Private

Address with land marks if possible.

Status of Institution/College

UG

PG

Diploma/Certificate

Certification only

Type of counseling

Group Career Counseling

Individual Career Counseling

Personality Development

Moral/Ethical

Soft Skills Training

Carrier Counseling

General Counseling

Customized Training

Seminar / Workshop

Psychology/ Testing/ Assessments

Employee Interaction

Organization Intervention

Organizational Development

Ethical Boosting

Curriculum Designing

Number Of Students*

Stream of Students

Time/Duration

One day 2 hours

One day 4 hours

One day 8 hours

Two day 2 hours each

Two day 4 hours each

Two day 8 hours each

Five days 6 hours each

Individual Name

Designation

Email*

Mobile Number

Address Residential*

College Website

Expected Month/Year for Activity Requested

Short/Brief statement of your problem